Oregon Information for Alternative Method of Counting Creditable Coverage

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US-334EM
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Description

This form is used by an entity to request additional information to determine an individual's coverage with respect to a category of benefits.

Oregon Information for Alternative Method of Counting Creditable Coverage is a useful resource for individuals seeking detailed information on how alternative methods can be utilized to accurately determine creditable coverage. This alternative method allows individuals to determine if their previous health care coverage can be considered creditable based on certain criteria set by the state of Oregon. By utilizing these alternative methods, individuals can better understand their health care coverage options and make informed decisions when enrolling in new health insurance plans. Key Points: 1. Understanding Creditable Coverage: The Oregon Information for Alternative Method of Counting Creditable Coverage provides a comprehensive explanation of creditable coverage, which refers to any health insurance or group health plan that meets specific minimum standards set by Oregon law. It helps individuals assess whether their previous health insurance plans qualify as credible coverage. 2. Eligibility for Alternative Method: The Oregon Information for Alternative Method of Counting Creditable Coverage outlines the criteria that should be met in order to be eligible for the alternative method. This includes factors such as the duration of coverage, the types of benefits provided, and the purpose of the coverage. 3. Different Types of Alternative Methods: There are several alternative methods available in Oregon for determining creditable coverage. These include the 12-month look-back method, the calculation using coverage months method, and the permanent method. Each of these methods is explained in detail, with clear instructions on how to determine creditable coverage using each method. 4. Benefits of Alternative Method: The Oregon information emphasizes the advantages of using alternative methods to calculate creditable coverage. These methods provide flexibility in determining coverage eligibility, especially for individuals with non-traditional health insurance plans. The use of alternative methods ensures fairness by considering various factors beyond traditional health care coverage. 5. Step-by-Step Instructions: The Oregon Information for Alternative Method of Counting Creditable Coverage offers step-by-step guidelines on how to calculate creditable coverage using alternative methods. It includes examples and scenarios to help individuals understand the calculations and make accurate determinations. 6. Additional Resources: The Oregon information provides a list of additional resources, such as contact information for the Oregon Division of Financial Regulation, where individuals can seek further clarification or assistance with understanding the alternative method of counting creditable coverage. In conclusion, the Oregon Information for Alternative Method of Counting Creditable Coverage is an invaluable resource for individuals in Oregon who need to determine if their previous health insurance coverage qualifies as creditable. It outlines the eligibility criteria, explains the various alternative methods available for calculating creditable coverage, and provides step-by-step instructions for accurate determination. By utilizing this information, individuals can make well-informed decisions regarding their health care coverage options.

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FAQ

Creditable coverage is a health insurance or health benefit plan that meets a minimum set of qualifications. Some examples include group and individual health plans, student health plans, and government-provided plans.

The Notice of Creditable Coverage works as proof of your coverage when you first become eligible for Medicare. Those who have creditable coverage through an employer or union receive a Notice of Creditable Coverage in the mail each year. This notice informs you that your current coverage is creditable.

HIPAA creditable coverage -- The concept of HIPAA creditable coverage is that an individual should be given day-for-day credit for previous health coverage against the application of a preexisting condition exclusion period when moving from one group health plan to another, from a group health plan to individual

Medicare defines creditable coverage" as coverage that is at least as good as what Medicare provides. Therefore, creditable drug coverage is as good as or better than Medicare Part D.

Employers that offer prescription drug coverage must provide notices of "creditable" or "non-creditable" coverage to Medicare-eligible employees or covered dependents before each year's Medicare Part D annual enrollment period begins.

You should receive a notice from your employer or plan around September of each year, informing you if your drug coverage is creditable. If you have not received this notice, contact your human resources department, drug plan, or benefits manager.

A certificate of Creditable Coverage (COCC) is a document provided by your previous insurance carrier that proves that your insurance has ended. This includes the name of the member to whom it applies as well as the coverage effective date and cancelation date.

A certificate of Creditable Coverage (COCC) is a document provided by your previous insurance carrier that proves that your insurance has ended. This includes the name of the member to whom it applies as well as the coverage effective date and cancelation date.

Non-creditable coverage: A health plan's prescription drug coverage is non-creditable when the amount the plan expects to pay, on average, for prescription drugs for individuals covered by the plan in the coming year is less than that which standard Medicare prescription drug coverage would be expected to pay.

More info

This health plan meets the Minimum Creditable Coverage standardsmay need to fill out and send an Other Health Insurance (OHI) form to ... This information is available in braille, large print and other formats for people(?Creditable? means the drug coverage is expected to.192 pages ? This information is available in braille, large print and other formats for people(?Creditable? means the drug coverage is expected to.Text: H.R.4159 ? 116th Congress (2019-2020)All Information (Except Text)For purposes of this title, the term 'creditable coverage' means, with respect ... (5) "Continuous period of creditable coverage" means the period during which an individual was(g) Any other information requested by the Director. On the back cover of this booklet if you need plan information in another formatOr count the number of full months in which you did not have creditable. You'll get this notice each year if you have drug coverage from an employer/union or other group health plan. This notice will let you know whether or not your ... A group health plan that provides medical and surgical benefits with respect to a mastectomy must also cover: all stages of reconstruction of the breast on ... Creditable coverage is a health insurance, prescription drug, or another health benefit plan that meets a minimum set of qualifications. Your prescription drug plan qualifies as creditable coverage for Medicare Part D. MEMBER COST SHARE (other than for Specialty Drugs). Each time a covered ... Regence BlueCross BlueShield of Oregon is a Medicare Advantage PPO plan with a(?Creditable? means the drug coverage is at least as good as Medicare's.

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Oregon Information for Alternative Method of Counting Creditable Coverage